Organization Active NPI

Houston Physicians Medical Association P L L C

  • Community/Retail Pharmacy
  • Shenandoah, TX
National Provider Identifier
1679759518
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25837 Issued in TX
Legal business name
HOUSTON PHYSICIANS MEDICAL ASSOCIATION P L L C
Doing business as
PATIENT DIRECT PHARMACY
Practice address
920 Medical Plaza Dr
Ste 140
Shenandoah, TX 77380-3260
Phone
(281) 298-1129
Fax
(281) 298-1168
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melody Molloy
Title
Coo
Phone
(281) 364-8887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 25837 TX Primary

Addresses

Primary practice location

920 Medical Plaza Dr
Ste 140
Shenandoah, TX 77380-3260

Mailing address

920 Medical Plaza Dr
Ste 140
Shenandoah, TX 77380-3260
Phone (281) 298-1129

Other identifiers 1

IdentifierTypeStateIssuer
4547139OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PATIENT DIRECT PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040810000051 TX Part B Supplier - Clinic/Group Practice 3375515455 Receives reassigned benefits from 74 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kingwood, TX; New Caney, TX; Shenandoah, TX; The Woodlands, TX; Cypress, TX; Tomball, TX; Willis, TX; Atascocita, TX…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1679759518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR",
            "address_2": "STE 140",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803260",
            "telephone_number": "281-298-1129",
            "fax_number": "281-298-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR",
            "address_2": "STE 140",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803260",
            "telephone_number": "281-298-1129",
            "fax_number": "281-298-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON PHYSICIANS MEDICAL ASSOCIATION P L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "MOLLOY",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "281-364-8887"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4547139",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATIENT DIRECT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.